Individual
VERONICA S JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4181 HOSPITAL DR NE STE 401, COVINGTON, GA 30014-2541
(783) 428-6606
Mailing address
PO BOX 102321, ATLANTA, GA 30368-2321
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN122389
GA
363LF0000X
Family Nurse Practitioner
RN122389
GA
Other
Enumeration date
12/17/2017
Last updated
10/07/2021
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